Distal Radius Locking Plate System - Stryker MedEd · 2 Variax Distal Radius Locking Plate System...

Operative Technique

• Anatomical & Universal Volar Plates

• Dorsal Plates

• Fragment Specific Plates

• XXL Anatomical Volar Plates

VariAxDistal Radius Locking Plate System

Han

d &

Wri

st

Hand & Wrist

2

Variax Distal Radius Locking Plate System

This publication sets forth detailed recommended procedures for using Stryker Osteosynthesis devices and instruments.

It offers guidance that you should heed, but as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments when and as required.

A workshop training is recommended prior to first surgery.

All non-sterile devices must be cleaned and sterilized before use. Follow the appropriate instructions for use (IFU). For additional informa-tion please refer to the instructions in our reprocessing guide (L24002000). Multi-component instruments must be disassembled for cleaning. Please refer to the corresponding assembly/disassembly instructions.

See package insert (90-03200, 90-01953) for a complete list of potential adverse effects, contrain-dications, warnings and precautions. The surgeon must discuss all relevant risks, including the finite lifetime of the device, with the patient, when necessary.

Warning: Fixation Screws:Stryker Osteosynthesis bone screws are not approved or intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, tho-racic or lumbar spine.

3

Page

1. Indications, Precautions & Contraindications 5

Intended Use 5

Precautions 5

Indications 5

Contraindications 5

2. Features and Benefits 6

3. Overview 8

Plate Options 8

Screw/Peg Options 8

4. Operative Technique 11

Anatomical Volar Plate 11

Universal Volar Plate 13

Dorsal Plate 15

Lateral Distal Radius Plate 17

Aiming Block 18

Ordering Information – Plates 20

Ordering Information – Cross Pin Screws 23

Ordering Information – T7 Drive Screws 25

Ordering Information – Instruments 27

Ordering Information – Plate Trials 28

Complementary Products 30

Contents

4

Indications, Precautions & Contraindications

The VariAx Distal Radius Plating System represents the Next Generation of Bone Fixation for your Distal Radius Fracture Needs.

PrecautionsStryker Osteosynthesis systems have not been evaluated for safety and use in MR environment and have not been tested for heating or migration in the MR environment, unless specified otherwise in the product labeling.

Contraindications• Inadequate bone quantity and

quality.• Patients with active infections.• Patients with metal allergies and

foreign body sensitivity.• Severely non-compliant patients with

mental or neurological conditions who are unwilling or incapable of following postoperative care instructions.

• Patients with limited blood supply or insufficient quality or quantity of bone.

• Patients with unstable physical and/or mental health conditions.

Indications Compression, intra-articular and extra-articular fractures, and displaced fractures. Following additional indications apply only for the XXL Volar Distal Radius Plates: Osteotomies, non-unions, and malunions.

Intended Use The VariAx Distal Radius Locking System including the XXL Volar Distal Radius Plates is intended for internal fixation of small bone fractures, primarily including distal radius fractures.

5

Features and Benefits

-15° +15° locking capability

Fixation of radial styloid with 2 screws

System Features

• Comprehensive Plating System Providing Anatomical Volar and Dorsal, Universal Volar and Fragment Specific Solutions.

• Anatomical Volar Plate Encourages articular support with Locking screws & pegs, promotes buttressing to the volar lunate facet and stable fixation of radial styloid fragments with two screws.

• XXL Anatomical Volar Plates Extra long volar plates are needed for cases where the metaphyseal comminution extends to the radial shaft. They follow the curvature of the bone as it extends toward the proximal end of the radius. 4 lengths: right, left, standard and narrow plates are offered.

• Fixed Angle Drill Guide Helps to assure placement of screws & pegs in a pre-determined angle.

• Polyaxial Drill Guide Allows locking with an additional angulation of ±15 degrees in any hole on the plate, except the oblong hole in the shaft.

• Range of 2.0mm to 2.7mm Locking and Non-Locking screws & pegs offering intraoperative solutions for different fracture fixation requirements. All pegs and screws may be used in any round hole in the plate.

• Anodization Type II

6

Features and Benefits

T7 Drive and Cross-Pin Screw Head Designs

Both screw head designs allow axial stability, friction fit screw retention, and easy screw pick up from screw rack.

SmartLock** Locking Technology

• Patented SmartLock Locking Technology Encourages “locked” screw to plate interface due to combination of Grade II - Ti Plates and Grade V - Ti Screws & Pegs.

• SmartLock Locking Screws & Pegs Designed with threads on the underside of the screw head, to engage the circular “lip” within any hole on the plate, except the oblong hole in the shaft.

• One-step Locking Can be achieved by simply inserting a Locking Screw or Peg within the polyaxial locking range of ±15 degrees, without the need for further steps.

Aiming Block and Scaled Drill bits

• The Aiming Block provides a simple option for screw placement with pre-determined screw trajectories.

• The Aiming Block accommodates the variable angle* drill guide, allowing for single-step drilling and screw length determination without the need for a separate depth gauge.

• Screws can be implanted through the Aiming Block while it is attached to the plate.

• The Joystick handle allows for easy manipulation, fixation and removal of plate and Aiming Block assembly.

• The Joystick handle can be removed after initial fixation of the Aiming Block to allow for accessible working environment.

• K-Wire holes approximate the trajectories of the distal screws.

T7 Drive

Cross-Pin

Left Right

Scaled drill bits provide another option for screw length measurement and allow for one step drilling and measuring.

* When used through the Aiming Block, the variable angle drill guide will only allow for screws to be placed in pre-determined screw trajectories.

** The SmartLock Technology is patented (US 6, 322, 562; DE 43 43 117) by Professor Dietmar Wolter, Hamburg, Germany.

7

Overview

2.7mm Locking

Screw

2.3mmLocking

Screw

Screw/Peg Options2.0mmSmooth Locking

Peg

2.3mmNon-

LockingScrew

2.7mmNon-

LockingScrew

2.7mmPartialThread

Non-LockingScrew

2.7mmPartial ThreadLocking

Screw

Plate Options

Cross-PinT7 Drive

Locking ScrewLocking Screw

Bone ScrewBone Screw

Note: • Locking and Non-Locking

screws can be used in any round hole.

• To avoid disengagement of the screwdriver blade from the screw during insertion, axial pressure is recommended.

Universal Volar Plates

Dorsal Plates Lateral

DR PlateDorsal Medial

DR PlateLeft

Right

XXL Anatomical Volar Plates

Anatomical Volar Plates

Note: Plates are not scaled to size.

8

Overview

15° distal15° lateral

12° proximal

5° proximal

5° proximal


0°

0°



10° proximal

5° proximal

0°

Pre-determined Screw Pattern

SmartLock Polyaxial Drill Guide (56-01250)

Allows for ±15 degrees of custom angulation and may be used for more complex fractures. A lip on the drill sleeve will engage and allow toggling in the hole. The range in which the drill guide toggles will create a 30-degree cone and every angle in this range will be a locking position. This may allow the surgeon to aim where the screw/peg should be placed. Also, depending on the placement of the plate, there may be a need to angle a screw/peg out of the fracture line.

Note: First fully engage the drill guide in the hole and then aim the drill in the desired direction.

Note: Using one of the provided drill guides for screw hole preparation is mandatory. Not using a drill guide may lead to drilling out of specified locking range and compromise the locking capabilities.

Fixed Angle Drill Guide (56-01255)

This drill guide can be used to help ensure placement of screw options at a fixed angle. It is designed to fit in the pre-tilted lips within the holes on the plate by simply pressing the drill guide into the hole.

Note: In order to prevent toggling, this

drill guide is designed to fit very tightly into the holes of the plate. When utilizing this instrument follow the same trajectory of the pre-tilted lips to facilitate its placement.

9

Depth Gauges

Silver (62-00016); Black (62-00018)

A choice of 2 Depth Gauge designs allows for a reliable screw measurement depending on surgeon preference.

2.3mm Drill Guide/K-Wire Guide (56-01260)

The K-Wire guide provides an option to assess potential screw positions by inserting a 1.1mm K-Wire prior to any drilling or screw insertion. By using the same technique, this K-Wire guide offers the same 30-degree locking cone as the SmartLock Polyaxial Drill Guide. It may also be utilized to provide temporary fixation to smaller fragments, while catching these with adjacent locking screws.

The 2.3mm drill guide can be used as an overdrill to lag 2.3mm screws if compression is desired or as a pilot hole for 2.7mm screws if the insertion is hindered. This drill guide can only be used in a fixed angle.

Overview

10

Anatomical Volar Plate

2. The FCR tendon is retracted ulnarly and dissection is carried down through the floor of the FCR sheath.

1. An incision is made approximately 5-8cm long just radial to the FCR tendon. If more exposure is necessary, the incision can be extended radially at 45 degrees along the wrist flexion creases.

3. The Pronator Quadratus muscle is identified and dissected in its entirety off of the volar surface of the radius as an ulnarly based flap.

4. The insertion of the Brachioradialis may be released.

Operative Technique

5. The fracture is visualized and reduced.

6. The use of external traction, and/or the use of K-Wires for temporary fixation may be helpful. The use of AP/Lateral fluoroscopy is helpful to determine correct fracture reduction and plate position.

7. Choose the appropriate implant according to patient anatomy and fracture pattern.

8. The plate should be placed slightly below the distal edge of the radius to support the volar articular fracture fragments and also to avoid inserting screws or pegs into the joint.

9. Zebra striped K-Wires and/or Olive K-Wires can be used for temporary fixation while evaluating the placement of the plate.

10. The first pilot hole should be drilled in the oblong gliding hole using the appropriate drill guide.

11. Use the depth gauge to determine screw length.

11

Note: In hard, cortical bone a 2.3mm cortical drill bit (60-23341) or the 2.7mm tap (62-27010) may be used to insert the 2.7mm screw to help reduce the risk of screw breakage during insertion.

Anatomical Volar Plate

Operative Technique

12. A non-locking screw is placed in the oblong gliding hole but not completely tightened to allow adjustment of the plate in distal or proximal directions.

13. After confirmation of the correct positioning of the anatomic volar plate by use of fluoroscopy, tighten the first screw.

14. Once the position of the plate has been determined, it is time to decide which drill guide to use based upon preference and/or fracture pattern.

15. Using the desired drill guide, repeat drilling, measuring and placement of screws/pegs in the distal holes.

16. Place locking or non-locking screws in the proximal end of the plate.

17. Verify proper placement of screws/pegs by use of fluoroscopy to ensure that neither penetrate the joint.

18. Close the incision.

12

Operative Technique

1. An incision is made approximately 5-8cm long directly over the FCR tendon. If more exposure is necessary, the incision can be extended radially at 45 degrees along the wrist flexion creases.

2. The FCR tendon is retracted ulnarly and dissection is carried down through the floor of the FCR sheath.

3. The Pronator Quadratus muscle is identified and dissected in its entirety off of the volar surface of the radius as an ulnarly based flap.

4. The insertion of the Brachioradialis may be released.

5. The fracture is visualized.

6. The fracture is reduced. The use of external traction, and/or the use of K-Wires for temporary fixation could be helpful.

7. The plate should be placed slightly below the distal edge of the distal radius to avoid inserting screws or pegs into the joint. The use of AP/Lat fluoroscopy is helpful to determine correct fracture reduction and plate position.

8. K-Wires can be used for temporary fixation.

9. The first pilot hole should be drilled in the oblong gliding hole using the appropriate drill guide.

10. Measure the depth of the hole to determine screw length.

11. The screw is placed in the oblong gliding hole but not completely tightened to allow adjustment of the plate in distal or proximal directions.

Universal Volar Plate

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Operative Technique

12. After confirmation of the correct positioning of the volar plate by use of fluoroscopy, tighten the first screw.

13. Repeat drilling, measuring and placing of screws/pegs in the distal holes of the plate. The position and number of screws applied depends on the type of fracture.

14. Place the bone or locking screws in the proximal end of the plate.

15. Verify proper placement of screws and pegs by use of fluoroscopy to ensure that neither penetrates the joint.


Universal Volar Plate

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1. Longitudinal incision is made just ulnar to Lister’s tubercle at the distal radius region.

2. Dissection is performed down to the extensor retinaculum. The third compartment is opened and the extensor pollicis longus is displaced radially.

3. The second compartment wrist extensors are subperiosteally elevated radially and the fourth compartment is subperiosteally elevated ulnarly. The terminal branches of the posterior interosseous nervemay be excised for pain reduction.

4. The fracture is reduced. The use of an external traction device and/or K-Wires for temporary fixation may be helpful.

5. If necessary, adapt the plate for correct anatomical position. Removal of Lister's Tubercle might be necessary.

6. The plate should be placed slightly below the distal edge of the distal radius to avoid inserting screws/pegs into the joint. Correct positioning of the plate should be confirmed by use of fluoroscopy. The first pilot hole should be drilled in the oblong gliding hole.

Dorsal Plate

7. Measure the depth of the hole to determine screw length.

8. The screw is placed in the oblong gliding hole but not completely tightened to allow adjustment of the plate in a distal or proximal direction.

Operative Technique

15

Operative Technique

9. Confirm proper plate positioning by use of fluoroscopy and then tighten the first screw.

Note: Screw length may need to be

changed after plate is fully seated on bone.

10. Repeat drilling, measuring, and placing of screws/pegs into the distal holes of the plate. The position and number of screws applied depends on the type of fracture.

11. Place bone or locking screws in the proximal end of the plate.

12. Confirm correct placement by use of fluoroscopy.

13. Verify proper placement of screws and pegs by use of fluoroscopy to ensure that they do not penetrate the joint.


Dorsal Plate

16

Lateral Distal Radius Plate

Operative Technique

1. An incision is made along the radial column.

2. Care must be taken to avoid injury to the superficial branch of the radial nerve.

3. The first dorsal compartment is released. The tendons are retracted volarly.

4. The fracture should be reduced and stabilized with a K-Wire placed from the distal radial styloid and aimed dorsal and proximal.

Note: Fragment specific plates should

not be used in isolation.

17

Operative Technique

Lateral Distal Radius Plate5. The plate is slipped over the K-Wire

and placed along the radial column.

6. A cortical screw placed in the oblong hole will compress the plate to the shaft, and by pulling the plate proximally will compress the fracture site.

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Operative Technique

Lateral Distal Radius Plate7. The 3 in 1 K-Wire bender/cutter/

inserter is used to bend K-Wires distally.

8. It is recommended only one K-Wire be placed distally at a time in order to make proper use of the bender/cutter/inserter instrument.

9. After insertion, the tamp and mallet can be used to further insert the K-Wires.

10. K-Wires and screws can be placed in conjunction for more rigid fixation.

11. The incision is closed.

19

Operative Technique

Aiming Block

1. Choose Aiming Block that corresponds to the plate that will be used (left/right, narrow/standard). Place peg on underside of block into shaft hole on plate.

2. Remove joystick from tray.

a. Insert the joystick into fixation pin and tighten black grasping sleeve onto fixation pin (Turn Clockwise).

b. Turn the silver knob on the joystick counter-clockwise to open fixation pin (approx 2 turns).

c. Pull joystick upward to remove pin assembly from tray.

3. The surgeon should choose which hole to place the pin in the block to mount the Aiming Block to the plate. Any hole may be used, except the most distal radial styloid hole because that hole has no slot to accommodate the tab on the pin. Then align the tab on the fixation pin with the slot on the Aiming Block as shown in the highlighted area.

4. Place joystick / fixation pin assembly though Aiming Block and into the plate.

* The wings on the underside of the pin must be closed in order for the pin to fit through the hole in the plate.

5. Verify that the fixation pin protrudes from the bottom of the plate.

* If the pin does not fully protrude through the plate, slowly turn the joystick counterclockwise to close the pin. As the wings on the pin close, you will hear a click to verify the pin is fully through the plate.

6. Turn the joystick knob clockwise to spread the wings on the pin and tighten Aiming Block to plate (approx 2 turns).

Attention: Fixation pin should not be overly

tightened as this may damage the threads on the pin. Only moderate effort is needed. (Finger tighten only).

Attention: Once the block is mounted to

the plate, verify the alignment by passing a K-Wire through the K-Wire holes. This should be done prior to mounting the block to the bone.

a. b. c.

20

Operative Technique

Aiming Block

10. Drill through drill guide. The scale on drill bit can be used to determine appropriate screw length.

Attention: To prevent damage to Aiming

Block and/or plate, the variable angle drill guide must be used.

11. Measure depth with depth gauge and choose appropriate screw. Ensure that tip of measuring gauge is fully seated onto the plate.

12. Screw can be inserted through Aiming Block. Confirm screw placement under fluoroscopy.

7. The joystick may be used to help position the plate on the bone. After plate is positioned, remove the joystick by loosening the black grasping sleeve from the fixation pin (counter clockwise).

Caution: Aiming Block cannot be used with

plates that have been intra- operatively contured or bent.

8. K-Wires may be used through the plate / block assembly for temporary fixation.

9. The variable angle drill guide can be used in any hole to drill for the pre-determined trajectory.

21

13. Removal of Aiming Block

a. Attach joystick to fixation pin by tightening black grasping sleeve. (clockwise)

b. Turn joystick knob counterclockwise to open fixation pin. (approx 2 turns)

14. Remove joystick / fixation pin assembly from Aiming Block.

15. Remove Aiming Block from plate. If necessary a screw can be placed in hole used for fixation of the Aiming Block. Ensure that all screw heads are fully seated onto the plate and fully tightened.

Optional Steps:

Under fluoroscopy, the K-Wire will approximate the trajectory of the adjacent screw on the ulnar side.

Note: There is no K-Wire hole to

approximate the distal most radial styloid screw.

Note: Left block is shown.

Operative Technique

Aiming Blocka. b.

22

Ordering Information – Plates

AnATOmICAL VOLAR PLATeS

Length Profile Height REF Description mm mm

54-25384 Anatomical Volar DR Plate

Narrow, Right 56 2


Narrow, Left 56 2


Standard, Right 56 2


Standard, Left 56 2


Narrow, Right, Long 76 2


Narrow, Left, Long 76 2


Standard, Right, Long 76 2


Standard, Left, Long 76 2


54-25394 Universal Volar DR Plate

Narrow, Short 53 2


Standard, Short 53 2


Wide, Short 53 2


Narrow, Long 73 2


Standard, Long 73 2


Wide, Long 73 2


Narrow, XLong 94 2


Standard, XLong 94 2


Wide, XLong 94 2

UnIVeRSAL VOLAR PLATeSUnIVeRSAL VOLAR PLATeS

23


XXL AnATOmICAL VOLAR PLATeS

Profile Height Profile Height Length Distal Shaft REF Description mm mm mm

54-25420 XXL Volar DR Plate, Stand, LE (15 holes) 189 2 3

54-25422 XXL Volar DR Plate, Stand, RI (15 holes) 189 2 3







54-25436 XXL Volar DR Plate, Narrow, LE (15 holes) 189 2 3

54-25438 XXL Volar DR Plate, Narrow, RI (15 holes) 189 2 3







Note: Plate Trials for the determination

of size intra-operatively are available on page 24. * They can be ordered single sterile-packed by placing a “S” at the end of the Cat. Nr.

24


* Formerly labelled as “Radial Column Plate”** Formerly labelled as “Ulnar Column Plate

FRAGmenT SPeCIFIC PLATeS

DORSAL PLATeS


54-25290 Dorsal DR Plate

Standard, Right 60 1.5


Standard, Left 60 1.5


Wide, Right 60 1.5


Wide, Left 60 1.5


Standard, Right, XLong 81 1.5


Standard, Left, XLong 81 1.5


Wide, Right, XLong 81 1.5


Wide, Left, Xlong 81 1.5


54-25400 Lateral DR Plate, Short* 44 1

54-25401 Lateral DR Plate, Long* 57 1

54-25402 Dorsal Medial DR Plate, Short, Right** 40 1

54-25403 Dorsal Medial DR Plate, Short, Left** 40 1

54-25404 Dorsal Medial DR Plate, Long, Right** 53 1

54-25405 Dorsal Medial DR Plate, Long, Left** 53 1

Note: Fragment specific plates should

not be used in isolation.

25

Ordering Information – Plate Trials

AnATOmICAL VOLAR PLATe TRIALS DORSAL PLATe TRIALS

FRAGmenT SPeCIFIC PLATe TRIALSXXL AnATOmICAL VOLAR PLATe TRIALS

UnIVeRSAL VOLAR PLATe TRIALS

REF Description

54-25384T Volar DR Trial,

Narrow, Right, Short


Narrow, Left, Short


Standard, Right, Short


Standard, Left, Short

REF Description

54-25290T Dorsal DR Trial,

Standard, Right


Standard, Left


Wide, Right


Wide, Left

REF Description

54-25400T Lateral DR Trial, Short

54-25402T Dorsal Medial DR Trial,

Short, Right

54-25403T Dorsal Medial DR Trial,

Short, Left

REF Description

54-25440T XXL Volar DR Trial, Narrow,

LE (11 holes)

54-25442T XXL Volar DR Trial,

Narrow, RI (11 holes)

54-25444T XXL Volar DR Trial,

Narrow, LE (8 holes)

54-25446T XXL Volar DR Trial, Narrow,

RI (8 holes)

REF Description


Narrow, Short


Standard, Short


Narrow, Long


Standard, Long

26

X-RAY TemPLATeS

REF Description

56-01410 Volar DR Aiming Block, narrow, right

56-01510 Volar DR Aiming Block, narrow, left

56-01610 Volar DR Aiming Block, standard, right

56-01710 Volar DR Aiming Block, standard, left

56-01210 VariAx DR Aiming Block Fixation Pin

56-01310 Variax DR Aiming Block Fixation Joystick

29-13125 Variax DR Aiming Block, Tray Insert

mARKeRS

AImInG BLOCKS

Ordering Information – Plate Trials

REF Description

50-23501 Marker - Locking Screws 2.3mm

50-27500 Marker - Locking Screws 2.7mm

50-20501 Marker - Locking Pegs 2.0mm

50-23001 Marker - Bone Screws 2.3mm

50-27000 Marker - Bone Screws 2.7mm

50-27001 Marker - PT Bone Screws 2.7mm

50-27501 Marker - PT Locking Pegs 2.7mm

50-23502 Marker - 2.3mm

REF Description

62-90004 X-Ray Template XXL Volar

DR Plates (Scale 1:1)

62-90005 X-Ray Template XXL Volar DR Plates (Scale 1.15:1)

27

Ordering Information – Cross-Pin Screws

2.7mm PARTIALLY THReADeD LOCKInG SCReWS

Ti Length REF mm

52-20616E 16

52-20618E 18

52-20620E 20

52-20622E 22

52-20624E 24

52-20626E 26

2.0mm LOCKInG PeGS 2.7mm LOCKInG SCReWS

Ti Length REF mm

52-27610E 10

52-27612E 12

52-27614E 14

52-27616E 16

52-27618E 18

52-27620E 20

52-27622E 22

52-27624E 24

52-27626E 26

Ti Length REF mm

52-27716E 16

52-27718E 18

52-27720E 20

52-27722E 22

52-27724E 24

52-27726E 26

For the 2.0mm Locking Pegs, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.

2.3mm LOCKInG SCReWS

Ti Length REF mm

52-23610E 10

52-23612E 12

52-23614E 14

52-23616E 16

52-23618E 18

52-23620E 20

52-23622E 22

52-23624E 24

52-23626E 26

52-23628E 28

52-23630E 30

52-23632E 32

52-23634E 34

52-23636E 36

52-23638E 38

For the 2.3mm Locking Screws, please use the following 1.9mm drill ref: 60-19140, 60-19340 and 60-19440.


For the 2.7mm Partially Threaded Locking Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.

28

Ordering Information – Cross-Pin Screws

2.3mm nOn-LOCKInG SCReWS 2.7mm PARTIALLY THReADeD nOn-LOCKInG SCReWS

Ti Length REF mm

52-23010E 10

52-23012E 12

52-23014E 14

52-23016E 16

52-23018E 18

52-23020E 20

52-23022E 22

52-23024E 24

52-23026E 26

52-23028E 28

52-23030E 30

52-23032E 32

52-23034E 34

52-23036E 36

52-23038E 38

Ti Length REF mm

52-27116E 16

52-27118E 18

52-27120E 20

52-27122E 22

52-27124E 24

52-27126E 26

For the 2.3mm Screws, please use the following 1.9mm drill ref: 60-19140, 60-19340 and 60-19440.

2.7mm nOn-LOCKInG SCReWS

Ti Length REF mm

52-27010E 10

52-27012E 12

52-27014E 14

52-27016E 16

52-27018E 18

52-27020E 20

52-27022E 22

52-27024E 24

52-27026E 26


For the 2.7mm Partially Threaded Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.

REF Description

62-27010 Tap for 2.7mm Screws, Hex

62-27011 Tap for 2.7mm Screws, AO

62-27007 Screwdriver Blade, Self-Retaining, Cross-Pin, Hex

DRILL BITS

Drill Drill End Diameter AO Stryker Dental

1.9mm 60-19340 60-19140 60-19440 2.0mm 60-20385 60-20185 60-20485 2.3mm 60-23341 60-23141 60-23441

TWIST DRILLS, TAP AnD BLADe

29

Ordering Information – T7 Drive Screws

Ti Length REF mm

53-20616E 16

53-20618E 18

53-20620E 20

53-20622E 22

53-20624E 24

53-20626E 26

2.0mm LOCKInG PeGS 2.7mm LOCKInG SCReWS

Ti Length REF mm

53-27610E 10

53-27612E 12

53-27614E 14

53-27616E 16

53-27618E 18

53-27620E 20

53-27622E 22

53-27624E 24

53-27626E 26

For the 2.0mm Locking Pegs, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.


Ti Length REF mm

53-23610E 10

53-23612E 12

53-23614E 14

53-23616E 16

53-23618E 18

53-23620E 20

53-23622E 22

53-23624E 24

53-23626E 26

53-23628E 28

53-23630E 30

53-23632E 32

53-23634E 34

53-23636E 36

53-23638E 38


2.7mm PARTIALLY THReADeD LOCKInG SCReWS 2.3mm LOCKInG SCReWS

Ti Length REF mm

53-27716E 16

53-27718E 18

53-27720E 20

53-27722E 22

53-27724E 24

53-27726E 26

For the 2.7mm Partially Threaded Locking Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.

30

Ordering Information – T7 Drive Screws

2.3mm nOn-LOCKInG SCReWS 2.7mm PARTIALLY THReADeD nOn-LOCKInG SCReWS

Ti Length REF mm

53-23210E 10

53-23212E 12

53-23214E 14

53-23216E 16

53-23218E 18

53-23220E 20

53-23222E 22

53-23224E 24

53-23226E 26

53-23228E 28

53-23230E 30

53-23232E 32

53-23234E 34

53-23236E 36

53-23238E 38

Ti Length REF mm

53-27116E 16

53-27118E 18

53-27120E 20

53-27122E 22

53-27124E 24

53-27126E 26


For the 2.7mm Partially Threaded Screws, please use the following 2.0mm drill ref: 60-20185, 60-20385 and 60-20485.

2.7mm nOn-LOCKInG SCReWS

Ti Length REF mm

53-27210E 10

53-27212E 12

53-27214E 14

53-27216E 16

53-27218E 18

53-27220E 20

53-27222E 22

53-27224E 24

53-27226E 26


TWIST DRILLS, TAP AnD BLADe

REF Description

62-27010 Tap for 2.7mm Screws, Hex

62-27011 Tap for 2.7mm screws, AO

62-27015 Screwdriver Blade, Self-Retaining, T7, Hex

62-27016 Screwdriver Blade, compatible with Capture Sleeve, T7, Hex

45-27030 Capture Sleeve for 2.3mm & 2.7mm T7 screws

DRILL BITS Drill Drill End Diameter AO Stryker Dental

1.9mm 60-19340 60-19140 60-19440 2.0mm 60-20385 60-20185 60-20485 2.3mm 60-23341 60-23141 60-23441

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Ordering Information – Instruments

K-WIReS

* Order Quantity: Packages of 5** Order Quantity: Packages of 10

InSTRUmenTATIOn

InSTRUmenTATIOn

REF Description

62-20290 Screwdriver Ratcheting Handle

56-01250 Polyaxial Drill Guide

2.3mm/2.7mm

56-01255 Fixed Angle Drill Guide

2.3mm/2.7mm

56-01260 2.3mm Overdrill and K-Wire

Guide

64-20117 Plate Bending Pliers

64-20118 K-Wire Bending Pliers

64-20129 Forceps with Grasping Lips

REF Description

07-3060 Lobster Bone Holding Forceps

07-30111 Lewin Bone Holding Forceps,

Sharp Tip

07-10006 Elevator, Double sided,

Narrow&Wide, Hohmanns

07-10021 Elevator, Double sided,

Strong&Light Curved

07-10175 Bone Hook

43-09830 Mallet (250g)

64-00011 Tamp

REF Description

62-00018 VariAx Distal Radius Depth

Gauge for 2.3/2.7 mm Screws,

black

62-00016 Depth Measuring Gauge

REF Description

56-40281 K-Wire with Olive Stop, 1.4mm *

07-40281 K-Wire, 1.1x160mm **

DePTH GAUGeS

STeRILIzInG COnTAIneR

ImPLAnT mODULe

REF Description

29-27001 VariAx Distal Radius Locking

Implant & Recessed Screw

Module* Module

* Recessed Screw Module to be used with

Self-Retaining Blades (62-27015 - T7 Blade

or 62-27007 – Cross-Pin Blade)

29-27005 VariAx Distal Radius Implant

Module, Compatible with

Capture Sleeve*

* 45-27030 Capture Sleeve for 2.3mm &

2.7mm T7 screws. (Capture Sleeve to be

used with 62-27016 – Screwdriver Blade)

29-27002 Inlay for Anatomical Volar Distal

Radius Plates

29-27003 Inlay for Universal Volar Distal

Radius Plates

29-27004 Inlay for Volar Anatomical XXL

DR Plates

REF Description

29-13012 VariAx Lid for Sterilizing

Container

29-13013 Sterilizing Container, Half-size,

w/o VariAx Lid

29-13114 VariAx Distal Radius Plating

Instrument Tray

29-13024 Inlay for Universal Volar Distal

Radius Plates

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Now Stryker Osteosynthesis offers you a wide variety of solutions for the treatment of Upper Extremity & Hand Injuries.

TwinFix

KnifeLight

Hoffmann II micro Lengthener Hoffmann II Compact mRI Profyle and VariAx Hand

T2 Humeral nail

T2 Proximal Humeral nailAsnis III 4.0 Cannulated ScrewsAxSOS Proximal Humeral Plate

33

notes

This document is intended solely for the use of healthcare professionals. A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery.

The information presented is intended to demonstrate a Stryker product. A surgeon must always refer to the package insert, product label and/or instructions for use, including the instructions for Cleaning and Sterilization (if applicable), before using any Stryker product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area.

Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Asnis, AxSOS, Hoffmann, Knifelight, SmartLock, Stryker, S2, T2, TwinFix, VariAx. All other trademarks are trademarks of their respective owners or holders.

The products listed above are CE marked.

Literature Number: 90-07800 Rev 8

Copyright © 2012 Stryker

Manufactured by:

Stryker Leibinger GmbH & Co. KGBötzinger Straße 41D-79111 FreiburgGermany

www.osteosynthesis.stryker.com

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Distal Radius Locking Plate System - Stryker MedEd · 2 Variax Distal Radius Locking Plate System...

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